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Director of Behavioral Health Care Management at Alliance Behavioral Healthcare

Posted in Management 30+ days ago.

This job brought to you by eQuest

Type: Full-Time
Location: Morrisville, North Carolina





Job Description:

The Director of Behavioral Health Care Management is the program lead for a team of supervisors, Care Navigators, and Behavioral Health Consultants that support members served through the Care Coordination department.   This Director will receive administrative supervision from the Senior Director of Care Coordination. Clinical authority and judgement will be exercised according to the scope of the license held by the employee. Additional clinical supervision will be provided through group peer clinical case reviews and indirectly under the leadership of those clinically credentialed on the Medical Management Team. This Director will define behavioral health outcomes for those served by Alliance Care Teams and collaborate with Utilization Management, Medical Management, and Provider Network leaders within Alliance Health to ensure that the desired outcomes from the work of the Care Navigators and Behavioral Health Consultants are consistent with those established for provider led Care Management Agencies and Tier 3 Advanced Medical Homes.   Clinical and administrative supervision will be provided by this Director to Care Navigator and Behavioral Health Consultant supervisors. This position will collaborate with the Directors of Behavioral Health Care Management, Operational Integrity and Regional Initiatives and Staff Development to ensure a cohesive and well coordinate approach to whole person care is achieved for the members served and for the staff working within the department.

Responsibilities and Duties


  • Reviews, understands and incorporates into departmental practice all DMH and DHB contractual requirements related to care coordination for individuals identified as having specialty behavioral health care needs .

  • Provides on going education, training and consultation to Care Navigator and Behavioral Health Consultant Care Team Supervisors

  • Uses a population health management approach when developing policies, procedures and workflows which impact the work of the department

  • Assists with the development and provision of training for line staff including behavioral health services provided through Alliance Health including all relevant clinical coverage policies, waiver programs, benefits plans and coverages for Medicaid, state funded and special grant programs that may be of benefit to members served through the Care Coordination department

  • Collaborates with Director of Physical Health Care Management and Medical Management team on development and implementation of clinical decision making workflows. Analyzes population health trends and collaborates with Medical Management on interpretation and business action steps associated with deductions drawn

  • Represents Care Coordination Behavioral Health Care Management program in Network provider related performance discussions to ensure agreement of desired outcomes across care team, CMA and AMH care management models

  • Develops workflows and collaborates across Alliance departments to understand data from a variety of sources as this relates to the physical health care risk and need for support of members served

  • Incorporates knowledge of Alliance health benefit plans and cross departmental structure to help guide efforts of care teams in supporting members with service engagement, assessing impact and seeking resolution of disparities regarding social determinants of health, monitoring census risk stratification for changes that will impact overall management of cases served

  • Monitors program dashboard in IT system and responds to risks identified

  • Assists Care Navigator and Behavioral Health Consultant supervisors in the recruiting, hiring and training of staff members

  • Provides oversight of the behavioral health consultants review of ISPs for Innovations and TBI cases with exceptional behavioral support needs including supporting team consideration of need for enhanced mental health services available which could assist with desired recovery and/or habilitation and rehabilitation outcomes

  • Exhibits professionalism, enthusiasm, courtesy, adaptability, flexibility, and spirit of cooperation in the work environment

  • Maintains effective interpersonal relations with Alliance staff, providers, partners and community stakeholders

  • Provides effective and timely response to phone calls, email and other communications and requests

  • Performs other related duties as required

Requirements

Master's degree in mental health, public health, social work, psychology, education, sociology, business or public administration and five (5) years of experience in a community, business, or governmental program in health related fields, social work, or education, including three (3) years of supervisory, consultative or administrative experience.

Requires current NC licensure as a LCSW, LMFT, LPC, LPA , LCAS or RN.

Salary Range

$71,845 - $123,680

Experience


Required


  • 3 year(s): Supervisory, consultative or administrative.

  • 5 year(s): In community, business, or governmental program in health related fields, social work, or education.

Education


Required


  • Masters or better in Human Services

Licenses & Certifications


Preferred


  • Lic Clin Addiction Spec

  • Lic Clinical Social Wkr

  • Lic Marr & Family Ther

  • Lic Psychologist (LP)

  • Lic Psychological Assoc

  • Lic Prof Counsel (LPC)

  • Lic Prof Counsel Supv

  • Registered Nurse

Skills


Required


  • Directing Others

  • Influencing

  • Relationship Management

  • Team Building


Preferred


  • Leadership

Behaviors


Preferred


  • Thought Provoking: Capable of making others think deeply on a subject

  • Loyal: Shows firm and constant support to a cause

  • Leader: Inspires teammates to follow them

  • Enthusiastic: Shows intense and eager enjoyment and interest

  • Dedicated: Devoted to a task or purpose with loyalty or integrity

Motivations


Preferred


  • Self-Starter: Inspired to perform without outside help

  • Job Security: Inspired to perform well by the knowledge that your job is safe

  • Goal Completion: Inspired to perform well by the completion of tasks

  • Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization

See job description